| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BALDWIN KRYSTYN SHERMAN PARTNERS3 | 4010 W BOY SCOUT BLVD SUITE 200 TAMPA, FL 33607 | HEALTH OPTIONS | $43K | $0 | $43K | 5.07% |
| CHET PRATHER HORNE3 | 2847 POST ROAD SARASOTA, FL 34231 | AFLAC - AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $4K | $229 | $4K | 5.36% |
| MARK J JELLEMA3 | 3719 ALOHA DR SARASOTA, FL 34232 | AFLAC - AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $1K | $46 | $1K | 1.96% |
| CHRISTINE P HORNE3 | 3224 DARTMOUTH LANE SARASOTA, FL 34239 | AFLAC - AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $986 | $0 | $986 | 1.30% |
| BARTLEIN AND ASSOC INC3 | 22465 PANTHER LOOP BRADENTON, FL 34202 | AFLAC - AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $435 | $0 | $435 | 0.57% |
| SHERI CROOK INC3 | 2151 COOK LN ALVA, FL 33920 | AFLAC - AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $381 | $46 | $427 | 0.56% |
| JUSTIN M REYNOLDS3 | 8433 ENTERPRISE CIR STE 100 LAKEWOOD RANCH, FL 34202 | AFLAC - AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $396 | $0 | $396 | 0.52% |
| MARY-ANNE MCKAY3 | 3360 TALLYWOOD CT SARASOTA, FL 34237 | AFLAC - AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $325 | $0 | $325 | 0.43% |
| JOHN J GRUND3 | 4119 24TH AVE W BRADENTON, FL 34205 | AFLAC - AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $235 | $0 | $235 | 0.31% |
| MELINDA ADAMS3 | 480 SCHOONER ST NORTH PORT, FL 34287 | AFLAC - AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $159 | $0 | $159 | 0.21% |
| ROGER BOUCHARD INSURANCE INC3 | PO BOX 6090 CLEARWATER, FL 33758 | AFLAC - AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $154 | $0 | $154 | 0.20% |
| ROGER BOUCHARD INSURANCE INC3 Filed as: ROGER BOUCHARD INS AGCY | 101 N STARCREST DR. PO BOX 6090 CLEARWATER, FL 33765 | AFLAC - AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $133 | $0 | $133 | 0.18% |
| MARY REBECCA WEATHERLY3 | 1934 E LEEWYNN DR SARASOTA, FL 34240 | AFLAC - AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $114 | $0 | $114 | 0.15% |
| ROGER BOUCHARD INSURANCE INC3 Filed as: ROGER BOUCHARD INS INC | PO BOX 6090 101 N STARCREST DR. CLEARWATER, FL 33758 | AFLAC - AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $98 | $0 | $98 | 0.13% |
| MEGHAN E MINNEHAN3 | 916 KNOWLES ST ROYAL OAK, MI 48067 | AFLAC - AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $98 | $0 | $98 | 0.13% |
| SUSAN C BRIMHALL3 | PO BOX 13877 MEXICO BEACH, FL 33410 | AFLAC - AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $76 | $0 | $76 | 0.10% |
| PMB INSURANCE SERVICES3 | 8705 MISTY CREEK DR SARASOTA, FL 34241 | AFLAC - AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $68 | $0 | $68 | 0.09% |
| ROBERT J HORNE3 | 3224 DARTMOUTH LANE SARASOTA, FL 34239 | AFLAC - AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $61 | $0 | $61 | 0.08% |
| REBECCA A MCQUILLEN3 | 1108 67TH STREET CT E BRADENTON, FL 34208 | AFLAC - AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $48 | $0 | $48 | 0.06% |
| J W GRIMES INC3 | 6165 WATERFORD RD COLUMBUS, GA 31904 | AFLAC - AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $43 | $0 | $43 | 0.06% |
| JOHN SUMNER3 Filed as: JOHN A SUMNER | PO BOX 9808 BRADENTON, FL 34206 | AFLAC - AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $33 | $0 | $33 | 0.04% |
| ROGER L KNIGHT3 | 4715 HIGHGROVE RD TALLAHASSEE, FL 32309 | AFLAC - AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $25 | $0 | $25 | 0.03% |
| LESLI L STRICKLAND3 | PO BOX 1161 ELLENTON, FL 34222 | AFLAC - AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $24 | $0 | $24 | 0.03% |
| GRAVES INC3 | 5659 W HOLIDAY ST HOMOSASSA, FL 34446 | AFLAC - AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $20 | $0 | $20 | 0.03% |
| JAMES P SMITH3 | 4388 WAXWING CT BOYNTON BEACH, FL 33436 | AFLAC - AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $18 | $0 | $18 | 0.02% |
| JANINE FOX3 | 18 HAVILAND DR SCHENECTADY, NY 12302 | AFLAC - AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $15 | $0 | $15 | 0.02% |
| DEBBY MIEDEMA3 | 56365 BARTOLOMEO ST SARASOTA, FL 34238 | AFLAC - AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $11 | $0 | $11 | 0.01% |
| DAVID E BARTSCHY3 | 48 BRADSHAW RD HIAWASSEE, GA 30546 | AFLAC - AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $11 | $0 | $11 | 0.01% |
| LELAND E MCCRAVY3 | 9736 SPYGLASS DR VILLA RICA, GA 30180 | AFLAC - AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $11 | $0 | $11 | 0.01% |
| JEFFREY GLENN YARISH3 | 16122 ARMISTEAD LN ODESSA, FL 33556 | AFLAC - AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $10 | $0 | $10 | 0.01% |
| JAMES (JAY) GRIMES3 | 554 ROBERT WILLIAMS RD PINE MOUNTAIN, GA 31822 | AFLAC - AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $8 | $0 | $8 | 0.01% |
| RANDALL BARTLEIN3 | 22465 PANTHER LOOP BRADENTON, FL 34202 | AFLAC - AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $7 | $0 | $7 | 0.01% |
| FRANCIS V CRUZ3 | 150 MAPLE DR WEXFORD, PA 15090 | AFLAC - AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $7 | $0 | $7 | 0.01% |
| C HUDSON AND ASSOCIATES3 | 2843 TWIN PINE RD THOMSON, GA 30824 | AFLAC - AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $6 | $0 | $6 | 0.01% |
| SUSAN C BRIMHALL3 | PO BOX 13877 MEXICO BEACH, FL 32410 | AFLAC - AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $5 | $0 | $5 | 0.01% |
| HORACE R WEAVER III3 | 106 FOUNTAIN DR SLIDELL, LA 70458 | AFLAC - AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $4 | $0 | $4 | 0.01% |
| JAMES ARTHUR HARBOUR3 Filed as: JAMES A HARBOUR | 405 BARSCHALL DR COLUMBUS, GA 31904 | AFLAC - AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $4 | $0 | $4 | 0.01% |
| ELLEN D JAMES3 | 5110 TARI STREAM WAY BRANDON, FL 33511 | AFLAC - AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $3 | $0 | $3 | 0.00% |
| JENNIFER B MOREHEAD3 | 13412 WHITBY RD HUDSON, FL 34667 | AFLAC - AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $3 | $0 | $3 | 0.00% |
| KIMBERLY DIAN CROCKETT3 | 505 LEE ROAD 214 PHENIX CITY, AL 36870 | AFLAC - AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $3 | $0 | $3 | 0.00% |
| MARK C LEE3 | 11500 COUNTY LINE RD MIDLAND, GA 31820 | AFLAC - AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $3 | $0 | $3 | 0.00% |
| OMER S BASS IV3 | 565 W GATEWAY CT MERRITT ISLAND, FL 32952 | AFLAC - AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $2 | $0 | $2 | 0.00% |
| DELORES ELAINE PINKOWSKI3 | HC 64 BOX 1815 CASTLE VALLEY, UT 84532 | AFLAC - AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $2 | $0 | $2 | 0.00% |
| JESSICA RAE ESKEW | 10426 SPRINGROSE DR TAMPA, FL 33626 | AFLAC - AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $1 | $0 | $1 | 0.00% |
| BALDWIN KRYSTYN SHERMAN PARTNERS3 | 4211 W BOY SCOUT BLVD STE 800 TAMPA, FL 33607 | HUMANA INSURANCE COMPANY (DENTAL PPO) | $4K | $0 | $4K | 9.83% |
| BALDWIN KRYSTYN SHERMAN PARTNERS3 | 4211 W BOY SCOUT BLVD STE 800 TAMPA, FL 33607 | HUMANA INSURANCE COMPANY (VISION) | $974 | $0 | $974 | 11.84% |
| BALDWIN KRYSTYN SHERMAN PARTNERS3 | 4211 W BOY SCOUT BLVD STE 800 TAMPA, FL 33607 | COMPBENEFITS COMPANY (DENTAL HMO) | $400 | $0 | $400 | 9.91% |
No Schedule C service providers reported on this filing.
Benefits declared on the Form 5500 main form (✓ = also has a Schedule A insurance contract; otherwise the benefit is funded out of plan assets or via a Schedule C TPA).
The plan reports several different headcounts depending on which form you read. Each one measures a different slice of the population.
| Active participants | 131 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 131 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental(2 contracts, 2 carriers) | HUMANA INSURANCE COMPANY (DENTAL PPO) | 75 | $49K |
| Vision | HUMANA INSURANCE COMPANY (VISION) | 82 | $8K |
| Short-term disability | AFLAC - AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | 85 | $76K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 96 | — |
Why the numbers differ. Form 5500 line 6 counts employees + retirees + beneficiaries; no dependents. Schedule A persons-covered counts everyone enrolled, including spouses and children, so it usually exceeds line 6 by 30-60% on a working-age workforce. The medical row is normally the broadest single line because it has the highest take-up; dental/vision/life often dip below it. Stop-loss / reinsurance contracts sometimes report the carrier's full underwriting pool rather than this filer's headcount; the row is shown for transparency but shouldn't be read as "people in this plan."
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.